Organization
LONGHORN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P. BALLANTYNE (CHAIRMAN)
(512) 266-5600
Entity
Organization
Contact information
Practice address
12501 LONGHORN PKWY, AUSTIN, TX 78732-1267
(512) 266-5600
(512) 266-5601
Mailing address
12501 LONGHORN PKWY, AUSTIN, TX 78732-1267
(512) 266-5600
(512) 266-5601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
137833
TX
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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